My new patient came in complaining of midback pain.  The pain was sharp and stabbing, rated as a 8 out of 10 on the pain scale(10 being a medcial emergency).  The patient loved to exercise, particularly relieving stress by shooting baskets like she did as a college player.  I pride myself on finding the source of the problem. I use xrays, a throrough physical that lasts and hour and a half and almost 20 years of experience in the field to determine how I will address the issue.  I also am different in that I adjust extremities such as the ankles, or in this case the shoulder blade that attaches to the midback.  I asked the patient how they sat at their desk chair in the home office.  When I evaluated her spine I found she had 29 out of 30 bones out of place and a functional scoliosis in her midback.  I determined that this scoliosis was caused by the way she was sitting and decided to start by adjusting the hips.  After adjusting one bone in her hip, I rechecked and all of the bones in the midback had gone back into place.  Then, I adjusted the shoulder blade.  The patient had immediate relief.  In order to hold these adjustments, I started by recommending one stretch and one strenghtening exercise.  I also told the patient how to change their work station.  All of these factors help her to come in for maintenance care without pain and spread the word about how I helped her with a different and unique approach to her problem.